Reference answer · cost · reviewed quarterly
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how pbms make money

Pharmacy Benefit Managers (PBMs) earn revenue through spread pricing, manufacturer rebates, administrative fees, and formulary placement incentives. They negotiate drug costs between pharmacies, manufacturers, and health plans, often retaining part of the savings or rebates. See deeper PBM contract mechanics at <a href="https://rxpbm.ai" rel="noopener">RxPBM</a>.